A fifty-two-year-old female patient comes in for her annual well-woman examination. Her LMP was fourteen months ago without any breakthrough bleeding. She
... [Show More] has also developed some hirsutism. You would document this as .
Question 1 options:
secondary amenorrhea
menopause
perimenopause
polycystic ovary syndrome (PCOS)
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Question 2 (2 points)
A 24 year-old female presents to the office with a complaint of vaginal itching in addition to thick mucoid discharge. She also has some mild urinary discomfort. A wet mount preparation using potassium hydroxide (KOH) reveals a negative whiff test and no clue cells. There were no trichomonads visualized but the WBCs were too numerous to count. Which of the following would be the most likely diagnosis in this patient?
Question 2 options:
Bacterial vaginosis
Trichomoniasis
Chlamydia
Cystitis
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Question 3 (2 points)
Nakia is a 65 year-old obese female with type II diabetes mellitus. She presents to your office with a complaint of vaginal itching and burning for two weeks now. She has not been sexually active for five years since her partner died of heart failure. She has tried douching and OTC Vagisil cream with no relief. On physical examination, the vulva is deep red with some thick white discharge. Which of the following conditions would be the most likely cause of her symptoms?
Question 3 options:
Trichomoniasis
Lichen simplex
Atrophic vaginitis
Candidiasis
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Question 4 (2 points)
The nurse practitioner is caring for a 42 year-old patient who had a total hysterectomy due to multiple uterine fibroids and is now experiencing severe vasomotor symptoms. Which of the following hormone replacement options should be considered for this patient?
Question 4 options:
Estrogen alone
Estrogen and progesterone
Progesterone and testosterone
Testosterone alone
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Question 5 (2 points)
A patient has been diagnosed with trichomoniasis. Which of the following treatment options would be appropriate?
Question 5 options:
Doxycycline 100 mg i po BID x 7 days
Azithromycin 1 gm po x 1 dose
Metrogel .75% vaginal gel, i applicator vaginally BID x 5 days
Metronidazole 500 mg i po BID x 7 days
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Question 6 (2 points)
The nurse practitioner is teaching a community class on HIV. Topics of discussion include routes of transmission, risk factors, and testing. Which of the following statements by the nurse practitioner is/are true? Select all that apply:
Question 6 options:
HIV is transmitted by kissing
HIV is not transmitted through oral sex
The Western blot is a confirmatory test for HIV
Maternal transmission of HIV may be reduced with planned cesarean birth
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Question 7 (2 points)
The nurse practitioner understands that non-pharmacologic treatments for urinary incontinence include: Select all that apply.
Question 7 options:
Kegel exercises
Oxybutynin (Ditropan)
Weight loss if obese
Pessaries
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Question 8 (2 points)
Anticholinergic medications are a type of treatment for which type of urinary incontinence?
*
Question 8 options:
Urge incontinence
Stress incontinence
Vulvodynia
Urethritis
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Question 9 (2 points)
You are at the office and a thirty-year-old woman presents with an abrupt onset of pain when attempting to urinate, frequency, urgency, and she thinks she may have seen some blood as well. You take her history and she tells you she had sex three days ago with her long-term significant other, but she realized she left her diaphragm in until today when these symptoms occurred. Her BP is unremarkable, pulse is 90, temperature is 99.8, no costovertebral angle tenderness (CVAT), and she is experiencing slight suprapubic discomfort. You review her urine dip and you note 2+ blood, +nitrates,
+leukocyte esterase. You send the urine for culture and sensitivity but your management plan is:
Question 9 options:
Await the urine culture and sensitivity results before treatin
Advise her to drink cranberry juice and you will give her a pain medication.
Treat now for a UTI while culture results are pending; screen for STIs if applicable.
Refer to a urologist
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Question 10 (2 points)
A woman comes to the clinic with the chief complaint of involuntary leakage of urine. The nurse practitioner understands that which of the following is not associated with an increased incidence of urinary incontinence?
Question 10 options:
Obesity
Pregnancy
Vaginal delivery
Cesarean section
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Question 11 (2 points)
The most common cause of chronic pelvic pain for women in the prime of their reproductive years is:
Question 11 options:
PID
Fibroids
Endometriosis
Endometritis
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Question 12 (2 points)
A definitive diagnosis of endometriosis cannot be made until which of these is completed?
Question 12 options:
CT scan
Transvaginal ultrasound
Exploratory laparoscopy
MRI
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Question 13 (2 points)
A patient has been diagnosed with Chlamydia. Which of the following single dose medications would be the best option?
Question 13 options:
Azithromycin 1 g
Rocephin 250 mg
Doxycycline 500 mg
Metronidazole 2 g
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Question 14 (2 points)
Cynthia, a 42-year-old female, presents with a painless, indurated ulcer on her labia. An inspection of her body reveals no other lesions, and she cannot recall any recent illness. You prescribe the patient benzathine intramuscularly in a single dose. What stage of syphilis are you most likely treating?
Question 14 options:
Primary
Secondary
Latent
Tertiary
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Question 15 (2 points)
The National Osteoporosis Foundation recognizes which of the following risk factors for osteoporosis as modifiable? Select all that apply.
Question 15 options:
Advanced age
Caucasian Race
Cigarette Smoking
Corticosteroid Use
https://www.coursehero.com/file/p3kdfjt0/Risk-screening-Immunizations-Medication-management- Points-Received-0-of-4/
Week 9 quiz: I got a 28/30, which is 93%. I didn’t figure out which one I got wrong as I was just trying to remember these questions.
1. Female with one solitary, nonpainful lesion on labia. syphilis treated with benzathine IM x1. Which stage are you treating?
-primary
2. female with retained diaphragm w fever and s/s of UTI. UA with positive nitrates, blood, and leukocyte. Culture sent to lab. What do you do?
-Treat for UTI
3. Female with LMP 14 months ago. Now s/s of hirsutism. What is your dx?
-menopause
4. Obese female with hx of DM x2 has complaints of vaginal discharge and itching. What is likely dx?
-candidiasis
5. Teaching class about HIV. What is true? Select all: (it’s the last 2 answers)
-can be spread by kissing
- can’t be spread through oral sex (not 100% this is the option)
-
-can decrease spread to baby with planned C-section
6. Which type of incontinence does anticholinergics tx?
-stress
-URGE -this is the right answer
7. Which are associated with increased risk of incontinence? (select all)- it’s the first 3 answers
-obesity
-pregnancy
-vaginal birth
-c-section
8. Which are considered modifiable risk factors for osteoporosis? (select all) it is the last 2 answers
-advanced age
- caucasian
-smoking/tobacco use
-corticosteroid use
9. Trichomoniasis. What is tx?
-metronidazole PO BID x7 days
10. Tx for chlamydia
-azithromycin
11. Female with thick mucoid vaginal discharge. KOH with neg whiff test, no clue cells, only increased WBC noted. What is likely dx?
-chlamydia
12. Osteoporosis??
13. Most common cause of chronic pelvic pain?
-endometriosis
14. Definitive diagnosis for endometriosis?
-laparoscopy
15. Female with history of hysterectomy is now experiencing vasomotor symptoms. What type of hormone replacement do you consider?
-estrogen only [Show Less]